Active NPI
Jordyn Michelle Quevedo, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1285453290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S027266
- Practice address
- 12965 N Oracle Rd
Tucson, AZ 85739-9594 - Phone
- (520) 825-7747
- NPI assigned
- Oct 7, 2024
- Last updated
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S027266 | AZ | Primary |
Addresses
Primary practice location
12965 N Oracle Rd
Tucson, AZ 85739-9594
Mailing address
12965 N Oracle Rd
Tucson, AZ 85739-9594
Phone (520) 825-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027266 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1285453290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12965 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857399594",
"telephone_number": "520-825-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12965 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857399594",
"telephone_number": "520-825-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVEDO",
"first_name": "JORDYN",
"middle_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S027266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Michelle Quan, DDS
- Sherry Quarles
- Caryn Queiruga, PHARMD
- Dax Quelland, PHARM.D., BCPS
- Questar Tucson Inc (Tucson Open Scan)
- Dominic Quezada, RBT
- Quick Test Health Services of Tucson
- Jennifer Quick
- Sally A Quick, D.C., PLLC
- Quiet Waters Maternity Spa, PLLC (Quiet Waters Maternity Spa & Wellness Center, PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.